Evaluating veterinary student skill acquisition on a laparoscopic suturing exercise after simulation training

Kilkenny, Jessica J.; White, Kadi; Singh, Ameet

doi:10.1111/vsu.12930

Cited by 12 publications

(24 citation statements)

References 24 publications

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“…The findings of this study are important because laparoscopic simulators have been shown in both human and veterinary medicine to improve core laparoscopic skills, allowing for shorter surgical times and better economy of movement. Finding time for simulator training appears to be a concern for current residents, and, with mandatory use of simulators required by fewer than one in five of the programs that have simulators, it is probable that simulators are not being widely used.…”

Section: Discussionmentioning

confidence: 94%

Perceptions and experience of veterinary surgery residents with minimally invasive surgery simulation training

et al. 2019

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Objective To determine access to and use of minimally invasive surgery (MIS) simulators among American College of Veterinary Surgeons (ACVS) small animal residents and to identify barriers to simulator use and perceptions of simulator training. Study design Voluntary online survey. Sample population One hundred forty‐one ACVS small animal residents. Methods American College of Veterinary Surgeons residents were identified by contacting ACVS residency program directors. An emailed online survey was sent to residents along with a reminder email 2 weeks later. All surveys were collected within 1 month. Participation was voluntary but incentivized. Results Response rate to the survey was 79 of 141 (56%) residents. Twenty‐eight of 77 (36%) residents have access to a simulator, with box simulators being most common. Lack of time was the most frequent reason for not using the simulator more. Sixty‐eight of 77 (88%) and 65 of 77 (65%) residents agreed or strongly agreed that simulator‐based training improves laparoscopic skills and that simulator skills are transferable to the operating room, respectively. Residents with access to a simulator were more comfortable with basic laparoscopic surgeries at the end of their residency than those without such access (P = .04). Conclusion There is substantial room for improved access to and use of MIS simulator training in ACVS residency programs. Despite lack of simulator access, residents believed that simulator training improved their skill and comfort level with basic laparoscopic procedures. Clinical significance The results of this study inform us about access to and perceptions of MIS simulator training among residents. This information is important to surgeons responsible for training residents and may help guide the creation of a surgical skills curriculum.

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Section: Discussionmentioning

confidence: 94%

Perceptions and experience of veterinary surgery residents with minimally invasive surgery simulation training

et al. 2019

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“…Training programs in human and veterinary laparoscopy tend to involve repetitive, self-directed, or guided practice over several weeks. 3,22,30,43,44 This format reflects evidence that laparoscopic performance improves progressively with practice and that ample, deliberate practice is required to reach expertise. 3,45 By contrast, the training protocol selected for this study consisted of 4 days of multimodal training and supervised practice with a low instructor-toparticipant ratio.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a laparoscopic abdominal simulator assessment to test readiness for laparoscopic ovariectomy in live dogs

French¹,

Griffon

Kass

et al. 2021

Veterinary Surgery

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Objective: To predict readiness for laparoscopic ovariectomy of live dogs on the basis of performance on a high-fidelity laparoscopic abdominal simulator and to determine interrater reliability of the assessment.Study design: Experimental study. Sample population: Seventeen fourth-year veterinary students.Methods: After a standardized laparoscopic training course, each participant performed a laparoscopic ovariectomy with a simulator. This performance was scored in real time by two evaluators using a rubric. Participants achieving a score of 112 of 160 performed a laparoscopic ovariectomy in a live dog, supervised by an instructor in the room. Two evaluators scored video recordings of each procedure using the rubric. Participants' opinions about the simulator were collected with a survey.Results: All participants scored above the threshold (range, 126-151) and successfully completed laparoscopic ovariectomy in a live dog, with an average of 10 of 17 participants requiring verbal guidance and 5 of 17 participants requiring intervention from the instructor. Interrater concordance was excellent for the rubrics used to score performance on the simulator (R = 0.91) and in vivo (R = 0.81). All participants agreed that the simulator should be used to assess trainee readiness prior to surgery in a live dog. Conclusion:Participants achieving a score of at least 126 of 160 on the simulator were able to perform a laparoscopic ovariectomy in a live dog under supervision. The scoring system for the simulator had excellent interrater concordance. Clinical significance: This simulator and scoring system can be used in laparoscopic training programs to assess readiness for progression to the operative setting.

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“…While alternatives do exist for providing ex‐vivo training, the majority of respondents felt that this would not, or would only partially help gain clinical skills and experience. While simulator‐based training has been shown to improve clinical skills, particularly in fields such as laparoscopy, 24–26 they are seldom available to residents at their institutions. The above strategies could contribute toward the maintenance of skills during periods where a dramatic drop in case load is experienced, and provision should be considered by institutions.…”

Section: Discussionmentioning

confidence: 99%

Reshaping surgical specialist training in small animal surgery during and after theCOVID‐19 pandemic

Alexander

Radke

2021

Veterinary Surgery

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Objective To assess the perceived effects of the COVID‐19 pandemic on small animal surgical specialist training, among trainees and supervisors and to propose changes, based upon the results, that could be incorporated into training programs. Study Design Anonymous online questionnaire survey. Sample Population Eighty‐one eligible responses were collected in September 2020, including 52 European College of Veterinary Surgeons (ECVS) residents and 29 ECVS Diplomates acting as supervisors. Methods Descriptive statistics were used to analyze the data. Fisher's exact test was used to test for significance. Results A reduction in surgical case load was reported by 82% (n = 66/81) of respondents, with 82% (n = 54/66) of those believing that COVID‐19 had a mild‐to‐moderate impact on training. Compared to supervisors, residents were less likely to feel that appropriate guidance, a safe working environment, and measures to preserve training had been provided (p < .01). Only 45% (n = 22/49) of residents reported confidence with performing teleconsultations. Ninety percent (n = 73/81) of respondents considered online “case presentations” and “edited surgical video footage” as a positive ancillary tool. Conclusion COVID‐19 has resulted in a reduction in case load and training for the majority of residents. A discrepancy between the opinions of residents and supervisors was noted on various aspects of COVID‐19 related effects. Impact Open communication, as well as the use of additional training tools through digital platforms may help to preserve safe and effective training during times of decreased clinical activity. While this study has focused on surgical specialist training, the results could be applied to other disciplines.

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Evaluating veterinary student skill acquisition on a laparoscopic suturing exercise after simulation training

Abstract: Simulation offers an adequate platform for the standardized training of laparoscopic skills in veterinary students and likely novice laparoscopic surgeons.

Cited by 12 publications

References 24 publications

Perceptions and experience of veterinary surgery residents with minimally invasive surgery simulation training

Perceptions and experience of veterinary surgery residents with minimally invasive surgery simulation training

Evaluation of a laparoscopic abdominal simulator assessment to test readiness for laparoscopic ovariectomy in live dogs

Reshaping surgical specialist training in small animal surgery during and after theCOVID‐19 pandemic

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